34D2286506 CLIA NUMBER - MANTEO COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 34D2286506
  • Facility Name: MANTEO COMMUNITY HEALTH CENTER
  • Facility Address: 402 BUDLEIGH STREET
    MANTEO, NC
    ZIP 27954
  • Facility Phone: 252 300-3005
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHANNON SAWIN
  • NPI Number: 1548046097
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2286506
LAB Type Federally Qualified Health Center
Facility Name MANTEO COMMUNITY HEALTH CENTER
Street 402 BUDLEIGH STREET
City MANTEO
State NC
ZIP 27954
Phone 252 300-3005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2023
Certificate Expiration Date 7/30/2025
Facility Type Federally Qualified Health Center
Lab Director SHANNON SAWIN

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This page was last updated on: 3/20/2025